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CACNA1A Gene Test

Florida rates for HCPCS 81186

Looks for changes in the CACNA1A gene in a blood or saliva sample. Changes in this gene are linked to inherited neurological conditions including episodes of unsteadiness and dizziness, a severe form of migraine that comes with temporary weakness on one side, and a slowly progressive loss of balance and coordination.

Rates data updated July 2026.

How much does CACNA1A Gene Test cost?

$132

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $302 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$112 to $151
FacilityA hospital or hospital-owned outpatient department$302$166 to $525

How much rates vary

Facilitymedian $302 · 10th to 90th $138 to $912Professionalmedian $129 · 10th to 90th $98 to $186
$10$20$50$100$200$500$1Kfacility $302professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$302.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$165.96
AvMed
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$218.78
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$316.23
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$186.21

Where Florida sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 50th of 51

$132

AK $417DE $123

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.